Alyssa McCrary

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

230522 Issued in AR

Practice address

2811 W Huntsville Ave Ste 1016
Springdale, AR 72762-7736

Phone

(479) 334-4657

NPI assigned

Sep 30, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Francis House Nwa, Inc.Group PAC ID 0042262495, 67 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pea Ridge Urgent Care Clinic

  • Urgent Care Clinic/Center
  • Pea Ridge, AR
  • NPI 1558140749

  AR

  Medicare reassignment NPD
• St Francis House Nwa, Inc

  • Federally Qualified Health Center (FQHC)
  • Springdale, AR
  • NPI 1821838996

  AR

  Medicare reassignment NPD
• St Francis House Nwa, Inc

  • Federally Qualified Health Center (FQHC)
  • West Fork, AR
  • NPI 1336986785
  NPD
• St. Francis House Nwa, Inc.

  • Federally Qualified Health Center (FQHC)
  • Rogers, AR
  • NPI 1710160098
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1659199503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 W HUNTSVILLE AVE STE 1016",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727627736",
            "telephone_number": "479-334-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 W HUNTSVILLE AVE STE 1016",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727627736",
            "telephone_number": "479-334-4657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2103 Slack St",
            "address_purpose": "LOCATION",
            "city": "Pea Ridge",
            "state": "AR",
            "postal_code": "727514005",
            "country_code": "US",
            "telephone_number": "479-765-1980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCRARY",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "230522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Michele McClure, MHPP
• Dena R McCool
• Tammy Jo McCool
• Trenton Merle McCord, D.D.S.
• Jan McCormick, EDD
• Carlee McCrary, DPT
• Jonathan G McCue
• Dillon Herschel McDonald
• Joan McDonald, ANP
• Matthew McDonald, DDS

• All providers in Springdale, AR
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.